Summons Form. This is a Kansas form and can be use in District Court Statewide.

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Tags: Summons, Kansas Statewide, District Court

In The District Court of ______ County, Kansas
Plaintiff’s name
(Revised 7/10)
Plaintiff
vs.
Case No. ______
Defendant’s name
Defendant’s address
Defendant
Pursuant to Chapter 61 of
Kansas Statutes Annotated
Type of Service Requested: ______ by ______
SUMMONS
To the above-named defendant(s):
You are hereby notified that a lawsuit commenced against you will be on this court's docket
at _____ o'clock _____ M., on the _____ day of _______________, ______, to be held at the
following location: _______________________________.
If you do not appear before this court or file an answer at such time, judgment by default will
be taken against you for the relief demanded in the petition.
If you intend to appear at such time and dispute the petition, you must file an answer with
the clerk of this court within 14 days thereafter.
If you are not represented by an attorney, the answer shall be signed by you. The answer
shall state the following:
(1) what the dispute is;
(2) any affirmative defenses you have to the claim; and
(3) your (or your attorney’s) current address, phone number, {fax phone number, and e-mail
address}.
You must also promptly send a copy of your answer to the plaintiff’s attorney or the plaintiff, if the
plaintiff has no attorney.
To the sheriff or process server:
This summons must be served and your return of service made promptly; in any event, your return
is due no later than ___________________, _____.
Dated: _______________
_______________________________
Clerk’s signature
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(Name and address of plaintiff or plaintiff’s attorney)
Reasonable accommodations will be provided in accordance with the Americans with Disabilities
Act.
RETURN ON SERVICE OF SUMMONS
I hereby certify that I have served this summons in the following manner:
(1) Personal Service. By delivering a copy of such summons and petition to each of the following
defendants on the dates indicated:
_______________ _______________, ______
_______________ _______________, ______
(2) Residence Service. By leaving a copy of such summons and petition at the usual place of
residence of each of the following defendants with some person of suitable age and discretion
residing therein on the dates indicated:
____________________ ____________________ ___________, ______
____________________ ____________________ ___________, ______
(Name)
(Address)
(Date)
(3) Agent Service. By delivering a copy of such summons and petition to each of the following
agents authorized by appointment or by law to receive service of process on the dates indicated:
____________________ _______________, ______
____________________ _______________, ______
(Name)
(Date)
(4) Residence Service and Mailing. By leaving a copy of such summons and petition at the usual
place of residence of each of the following defendants and mailing by first-class mail on the dates
indicated a notice that such copy has been so left:
____________________ ____________________ ____________, ______
____________________ ____________________ ____________, ______
(Name)
(Address)
(Date)
(5) Service by Return Receipt Delivery. By causing to be delivered on the _____ day of
_______________, ______, a copy of the summons and petition by return receipt delivery to each
of the following defendants at the following address:
______________________________________________________________________________
______________________________________________________________________________
with such delivery made by the following person or entity: _______________________________.
Attached hereto is a copy of the return receipt evidencing such delivery.
(6) Return Receipt Delivery Refused. By mailing on the _____ day of _______________, _____,
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a copy of the summons and petition by first-class mail, postage prepaid, addressed to the following
at the following address.:
_____________________________________________________________________________
_____________________________________________________________________________
(7) No Service. The following defendants were not served:
______________________________________________________________________________
Pursuant to K.S.A. 53-601, as amended, I declare under the penalty of perjury that the foregoing is
true and correct.
EXECUTED on __________________, ______.
_______________________________
Signature & Title of Officer or
Process Server
American LegalNet, Inc.
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